Ambulance Billing Specialist

We are a growing ambulance company providing non-emergent transports in California. We operate in a high-volume environment and are seeking an experienced ambulance biller who can manage the full revenue cycle.

This role is designed for someone who takes ownership of A/R, understands payer rules, and is accountable for results.
Role Summary

The Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up. This position plays a critical role in protecting company revenue and improving cash flow.

Key Responsibilities

• Submit clean, accurate ambulance claims in a timely manner
• Ensure compliance with CMS ambulance billing guidelines
• Review documentation for medical necessity, PCS forms, narratives, and mileage
• Manage accounts receivable and aggressively follow up on unpaid claims
• Resolve denials, underpayments, and rejections
• Prepare and submit appeals as needed
• Post and reconcile payments accurately
• Identify trends in denials and underpayments and recommend corrective actions
• Communicate with operations and dispatch regarding documentation deficiencies
• Track and report billing KPIs, including clean claim rate and A/R aging
• Assist with audits, payer requests, and compliance reviews

Required Qualifications (Non-Negotiable)

• Minimum 2-3 years of ambulance billing experience
• Strong knowledge of:
  
  • Medicare ambulance billing guidelines
  • Medi-Cal and managed care plans
  • Levels of Service Billing requirements
  • PCS forms and medical necessity documentation
  • Modifiers, base rates, and mileage billing
  • Strong Working knowledge of IDC-10 diagnosis codes
• Proven experience with denial management and appeals
• Ability to independently manage A/R and follow-ups
• High attention to detail and strong organizational skills

Applicants without ambulance-specific billing experience will not be considered.